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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 339:906-913 September 24, 1998 Number 13
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Case 30-1998— A 30-Year-Old Woman with Increasing Hypertension and Proteinuria
Jack Ludmir, and R. Neal Smith

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Presentation of Case

A 30-year-old woman (gravida 2, para 0) was admitted to the hospital at 27 weeks' gestation because of increasing hypertension and proteinuria.

The patient had been well until 10 years earlier, when polyarthralgia developed. Nine years before admission, the patient's right first toe became painful and cyanotic. The results of laboratory tests performed at that time and subsequently are shown in Table 1, Table 2, Table 3, and Table 4. A percutaneous angiographic examination showed thromboemboli in the right peroneal and anterior tibial arteries. No thrombotic tendency or embolic source was discovered, although the patient had . . . [Full Text of this Article]

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Dr. Jack Ludmir's Diagnosis

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